Around 10% of patients with stroke go on to develop epilepsy, however, imaging biomarkers for post-stroke epilepsy (PSE) are lacking. Perivascular spaces (PVS) are small interstitial fluid filled spaces lining the blood vessels which have a role in waste clearance in the brain. They have been found to be abnormal in epilepsy, and here we investigate whether they could serve as an early predictor of PSE. We found that the overall number and scores of enlarged PVSs were not associated with PSE, but the inter-hemispheric asymmetry was an independently associated biomarker.
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